Modified technique of renal pedicle lymphatic disconnection for chyluria through the laparoscopic surgery

摘要

Fifteen cases of chyluria were diagnosed by Sudan staining test and the sides of chylous reflux were determined by cystoscopy. All patients underwent the modified laparoscopic technique. The operations had been successfully without unexpected injury. The postoperative urine chyle tests were negative in all patients. Recurrence developed in 1 patient during the follow-up. The modified technique does not require complete disconnection of perirenal fat tissue and fasciectomy diminishing necessity of nephropexy and preventing renal torsion. It is a feasible and effective surgical procedure for chyluria with a short operation time, minimal invasion and few complications.